Provider Demographics
NPI:1417200106
Name:WARREN, TOMI CHRISTINE (CNM, NP, RN)
Entity Type:Individual
Prefix:
First Name:TOMI
Middle Name:CHRISTINE
Last Name:WARREN
Suffix:
Gender:F
Credentials:CNM, NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 N SANDERS ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3640
Mailing Address - Country:US
Mailing Address - Phone:410-271-1138
Mailing Address - Fax:
Practice Address - Street 1:308 N SANDERS ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3640
Practice Address - Country:US
Practice Address - Phone:410-271-1138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA730827163WX0003X
NY588291163WX0003X
CA22154363LW0102X
CA2005367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health